Seller Questionnaire

Form is submitted securely to us

Seller's Name *

Seller's Day Phone *

Seller's Evening Phone *

Seller's Email

Seller's SSN *

Marital Status
MarriedUnmarried

Seller 2 Name

Seller 2 SSN

Who will prepare the deed? *
Summit Title ($175 average cost)Your Attorney

Is the property you are selling your primary residence?
YesNo

Water and Sewer?
Both privateBoth publicPrivate Water/ Public SewerPublic Water/ Private Septic

Please note if the subject property is a condo, we will need a copy of the Master Insurance Policy and a Condo Fee Statement prior to closing.

Condo Association Contact

Condo Contact Phone

Monthly/Quarterly Fee

Is water/sewer included in Condo Fee?
YesNo

Notes

Your current Mortgage Information


Lending Institution (1st Mortgage)

Account Number (1st Mortgage)

Second Mortgage Information


Lending Institution (2nd Mortgage)

Account Number (2nd Mortgage)

Please list any other mortgages

Would you like to attach any documents? (P&S, 1003, tax bill)

By submitting this form, I authorize Summit Title Services Corp to receive any payoff information with regard to my/our loan.‎

Forms are secure when submitted